Graduated: 2000
NPI: 1164620522
Practice Locations (2)
SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC
3025 W CHERRY LN
MERIDIAN, ID 836428531
SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC
11035 KARCHER RD
NAMPA, ID 836518200
2083022100
Source: CMS National Downloadable File, September 2026.